ElectroNet Safety Observation

• Conducted on

  Date
• Location
  Address

• Description of work

• Work Party Members

  Select Andrew Gilmore Brent Aitken Cat Corbatt Emily Breen Gareth Reid Gary Turnbull Jamie Capamagian Jesse Ilton Ken Goodal Kevin Rodden Matt Kerr

  • Andrew Gilmore
  • Brent Aitken
  • Cat Corbatt
  • Emily Breen
  • Gareth Reid
  • Gary Turnbull
  • Jamie Capamagian
  • Jesse Ilton
  • Ken Goodal
  • Kevin Rodden
  • Matt Kerr

• Additional members not in list

• Prepared by

• Observer Signature

  Sign

• Equipment Stored Tidily

  Yes

  No

  N/A

• Traffic Management in Place

  Yes

  No

  N/A

• Site Access and Movement Controlled

  Yes

  No

  N/A

• Ladders in use are Secured

  Yes

  No

  N/A

• Ladders Not in use are Lowered

  Yes

  No

  N/A

• Able to Identify Who in Charge

  Yes

  No

  N/A

• Overalls Cover Arms and Legs

  Yes

  No

  N/A

• Hard Hats On

  Yes

  No

  N/A

• Harnesses if up Poles or in EWP

  Yes

  No

  N/A

• Clean, Tidy Hi-Vis Reflective Tape

  Yes

  No

  N/A

• Working as a Team

  Yes

  No

  N/A

• No Sign of Fatigue

  Yes

  No

  N/A

• No Unusual Behaviour

  Yes

  No

  N/A

• Good Communication

  Yes

  No

  N/A

• Safe Acts Observed

• Concerns

Site Photo

• Add media

  Media